Sprout Pediatric Dental | |
554 Hamlin Highway Lake Ariel PA 18436-9319 | |
(570) 253-0358 | |
Not Available |
Full Name | Sprout Pediatric Dental |
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Speciality | Dentist - Pediatric Dentistry |
Location | 554 Hamlin Highway, Lake Ariel, Pennsylvania |
Authorized Official Name and Position | Katherine Rosalie Schloesser (OWNER) |
Authorized Official Contact | 5702530358 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sprout Pediatric Dental 554 Hamlin Hwy Lake Ariel PA 18436-9319 Ph: (570) 253-0358 | Sprout Pediatric Dental 554 Hamlin Highway Lake Ariel PA 18436-9319 Ph: (570) 253-0358 |
NPI Number | 1528319993 |
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Provider Enumeration Date | 09/26/2012 |
Last Update Date | 03/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528319993 | NPI | - | NPPES |
102202080 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Ariel Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 358 Hamlin Hwy, Ste 2, Lake Ariel, PA 18436 Phone: 570-689-2449 Fax: 866-658-1522 |